Loading...
HomeMy WebLinkAboutPlumbing Permit #13-1151 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED �3 � ADDRESS "�� � � I � �`` i ��` � � 'T OWNER CONTR. PHONE NO. PERMIT NO. /�3 `°�� S� � FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILIING ❑ FOUNDATION ❑ MECH RI 0 COMPLAINT ❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE Ri 0 INSULATION O SEWER HOOKUP O FIREPLACE FINAL O FINAL O PLUMBING FINAL � GASLINE AIR TST ❑ SITE INSPECTION O MECH FINAt. ❑ COMMENTS: � � �WORK SATISFACTORY, PROCEED . ❑ CORRECT AC710N AND PROCEED ❑ CORRECT W� CALL FOR REINSPECTlON BEFORE COVERING inspector: G��� Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 NOURS IN ADVANCE. CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI / � a ��-G i�/ �/� o � P�tlp� Date Rec'd � � CIT� OF PRIOR LAKE PLUMBING PERNIIT � ,/�� I3 � � � ����� `. B �` ��` PERMIT NO. Z �. aad caY /•J — l �.� � 3. Ydbw Applx�wa ease or and at bottom ADDRESS ZONING t� �) y`f/� �e..�a 7 a. �� ' �� LEGAL DESCRIPTION (office usc only) �' 2 � q LE}T � BLOC.K J ADDITION �' �/� �*,�F� �' �/v PID �jr' ��f ' 6/(� `D ow�vEx L � � T / c � (Name) f nn � !J � ! � y� � � (Phone) 9,Ta2 - /-� � - ��� (address) �f `�// � TGt ,S� - TF 6'.z rQ�' ��e s APPLICANT .� . �x�, �r� i Co w� r y�✓���" Cvn c�� �ni y�,�� �rn�e> �a U-� �-a ��O tA�3r�ss) 3 �� �=� e� �,-e. �,� ��W �ahJ r�Yt ,��S�.t'Q t�aa�} Ec�,} {z� c�) (Contact Ferson) �d n �TG� /-� 7��C (Phone) .�•?� " `r� � - � � �(/ APPi.ICANT SIGNATURE �i-- � DATE ���� /� APPL�CANT PLEASE COMPLET� BEL4W aanti of Fixture uanti of Fiu�tare Bath Tub with or withouY shower Rou h-ins Dishwasher Water Heater �l�r L?rain Wxte� 5oftener Lava #hroom Sink Stand Pi ashi Machine I.azm Tra 1 or 2 cam artment sink Sewa e E'ectar Shower Stall Backflow Assembl Si�nks $�kflow Assemt�l Test Baz Sink Lawn S rinlcter Water Gloset �ailet 4ttier FEE SCHEDULE Indu�trial, Commercial & Muiti-familq i% of job cost wiih a$49.50 mm�nm Resitle�sl,l�Tew Qa� &'t wo-Famity St49.5lf Residentia{, Additions & Alterations 549.50 Thc Minnesota Statt�[es § 3ZGB.148 .... �$ Btuid'mg Petmit # "SUIiCHARGE" ha� been chsng�d fc�r oFte ycar effective PLUMBING PERMIT FEE $ �f 9• J� Ju1y i. 2014, untii .Dune 3t1 aot t. STATE SURCHARGE $ -�� The miaimum sunharge iar a"tfxed ke" permit TpTAL PERMIT FEE $ �'y ,� is �,5, beg�naiag ddy !, 2010 This Application Becomes Yaur Bnilding Permit When Approved Paid ��� Receipt No. �//1 � 7 Ua#e �� �I � $y �e p� H�rte b 24 6oar noflce for sfl inspectioes (952) d47-�S6, tax (�SZ) M7-4245 4b46 Dakata Street SE., Prisr Lskc, Mlnnesota 55372